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Disability Support Pension (DSP) customer fails to reply to correspondence 008-03090080



This is a Family and Domestic Violence Interaction Point. If the customer is with another person, on speaker phone or already identified with family and domestic violence concerns, continue with the current business conversation. Otherwise, go to the Family and domestic violence procedure to conduct the risk identification and referral process.

Risks to a customer's privacy have been identified. See Separating safely - protecting personal details.

This document explains action when a customer receiving DSP fails to reply to correspondence. Also, outlines how to issue a manual advice from a Manual Follow-Up (MFU) activity. This file does not apply to DSP new claimants required to provide medical evidence to support their claim, see Streaming a new claim for Disability Support Pension (DSP).

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DSP customer fails to reply to correspondence

Manual Follow-up (MFU) activity - manual advice required

DSP customer fails to reply to correspondence

Table 1

Step

Action

1

Customer has not responded to correspondence within the timeframe specified on the letter + Read more ...

Check to confirm that the written request the customer has not responded to includes:

  • advice about the information/action required
  • a reasonable timeframe for response
  • information about the consequences of non-compliance and
  • a reference to the relevant Act the request has been made under

Has the customer been fully advised in writing about the information/action required and the consequences of not responding?

2

Confirm the correspondence has not been provided to Services Australia + Read more ...

Review the record for any evidence that the customer has:

  • contacted Services Australia
  • provided required details, and/or
  • returned any required documentation, review:
    • scanned documents to make sure the provided document(s) meets requirements and has not been scanned under an incorrect identifier; and
    • the Document List (DL) screen for any DOC supporting customer contact or provision of requested documents

Have all requested documents and/or information been provided?

3

More clarification required + Read more ...

In some cases, staff may need to contact a customer to clarify the details of the information provided.

If the customer has a Correspondence Nominee, attempt to contact the nominee first. If the customer/nominee:

4

Issue Q164 request to contact letter + Read more ...

When the customer (and nominee, if applicable) has no contact details:

  • Create and issue a Q164, asking the customer to contact within 14 days
  • If the customer has a correspondence nominee, create and issue the same Q164 to the correspondence nominee
  • Create a DOC detailing the reason for issuing the Q164

Procedure ends here until the customer responds or Q164 falls due.

5

Attempt to contact the customer/nominee by telephone + Read more ...

Service Officers must make genuine attempts to contact the customer/nominee.

Is contact with the customer successful?

  • Yes, and:
    • they have failed to provide all requested information by the due date, go to Step 7
    • more information or clarification of the provided information is required, go to Step 6
  • No, go to Step 8

6

Clarify provided information + Read more ...

Do not formally or verbally re-request documents that have previously been requested.

Is the customer able to provide the required information/clarification verbally?

  • Yes, go to Step 13 to complete the updates
  • No, tell the customer:

Further information is required to clarify your circumstances. A formal request will be issued today where you will have 14 days to provide the information. You can provide the details at your local service centre or through Upload documents online (preferred option). If you do not provide the evidence, your Disability Support Pension may be suspended.

Issue a request for the required information through More Options icon > Request Documents. See Requesting information (CLK). If the customer has a correspondence nominee, copies of letters and notices must also be sent to the nominee.

Annotate any existing DOC about to the initial request or create a DOC with details about the discussion.

Procedure ends here until the information has been provided.

7

Contact attempt is successful + Read more ...

Consider if the failure to reply to correspondence is caused by any vulnerability and risk issues.

Tell the customer:

  • The evidence provided does not meet requirements, or
  • The evidence requested on <date> has not been provided

Ask the customer if they can:

  • upload the requested evidence or provide the evidence/information within 24 hours, or
  • provide the evidence/information verbally over the phone

Customer can provide evidence/information within 24 hours + Read more ...

Tell the customer:

Place the relevant activity on hold for 2 business days.

Procedure ends here until the customer responds or the activity falls due.

Customer is unable to provide evidence/information within 24 hours + Read more ...

Do not re-request documents that have previously been requested.

Tell the customer:

The requested information is required to ensure that your record is correct. Your Disability Support Pension will be suspended until the information is provided. You can contact us on 132 717 to advise when you have lodged the documents/information. If you do not provide all of the requested information within 13 weeks, your Disability Support Pension may be cancelled.

Go to Step 11.

8

Contact is unsuccessful + Read more ...

Has an extension to the due date been previously provided?

  • Yes, the customer has failed to reply to correspondence, go to Step 11
  • No, check if special circumstances exist, go to Step 9

9

Check if special circumstances exist + Read more ...

Check the record for any evidence that a special circumstance exists.

Special circumstances may include:

  • practical difficulties in meeting the timeframe because they live in a remote area or are temporarily overseas
  • the necessary timeframe was not provided with the original request,
  • the customer needs to get the documents from a third party
  • an emergency interfering with the customer's plans to lodge within the timeframe. Generally, the emergency is unforeseen and for a short term. For example:

Do special circumstances exist?

10

Special circumstances exist - extend due date + Read more ...

Where special circumstances have been established:

  • Select the Transaction icon
  • Select the CoC transaction being extended
  • Select Extend Due Date
  • The Extend Due Date screen will show. Complete the following fields:
    • Set New Expiry Date: add new date using the calendar
    • add notes in the Staff Notes field
  • Select Extend, to return to the Request for Information - Manage Customer Tasks screen
  • Procedure ends here until the customer responds or RFI transaction falls due

11

Code suspension + Read more ...

Only manually suspend DSP if:

  • there is sufficient evidence:
    • the customer is not qualified for DSP, or
    • DSP is not payable
  • the period of ineligibility is expected to be for a short time or there is reason to believe non-compliance issues will be resolved
  • all required actions have been completed:
    • the correct request or notice has been issued, and
    • the customer/nominee has not provided all required documents for assessment by the due date (including any extensions), and
    • genuine attempts to contact customer have been completed

In Process Direct + Read more ...

Go to the Benefit Action (BA) screen:

  • Select + Add New to create a new Create Benefit Action table
  • Complete the following fields:
    • Benefit Type Code: DSP
    • Benefit action: SUS - Suspend
    • Reason: FRC – Fail to reply to correspondence
    • Date of Effect: key the date of effect for the suspension. For more details, see Date of effect
  • Select Save
  • Complete the Receipt Date, Channel and Service Reason fields and select Save
  • Select Assess and address any errors/warnings which may present on the SWE screen
  • Select Assess > Finish. Record details of the update on the Finalise screen
  • Select Finalise to complete the transaction
  • Document the suspension by recording all relevant details. Use Fast Note - select Auto Text, use Generic > SUS/CAN/RES > Suspend Cancel Reason.
    Note: unless action is taken to restore DSP within 13 weeks of the suspension date, DSP automatically cancels after 13 weeks
  • Go to Step 12

In Customer First + Read more ...

Go to the Benefit Action (BA) screen and code the following:

  • Service Reason: DSP
  • Action: SUS - Suspend
  • Reason: FRC - Fail to reply to correspondence. See Cancellation, suspension and rejection codes for Disability Support Pension (DSP)
  • Effect Date: key the date of effect for the suspension. For more details, see Date of effect
  • Complete Source: field and Receipt Date: field
  • Select Submit Changes
  • Go to the Assessment Results (AR) screen
  • Select Finalise > Save and Exit
  • Document the suspension by recording all relevant details. Use Fast Note - select Auto Text, use Generic > SUS/CAN/RES > Suspend Cancel Reason
    Note:
    unless action is taken to restore DSP within 13 weeks of the suspension date, DSP automatically cancels after 13 weeks
  • Go to Step 12

12

Check if a suspension is required for the customer's partner + Read more ...

If the customer has a partner, check if the partner:

  • is receiving a payment, and
  • was also issued a request for information/contact, and
  • has not responded to the request

Suspend the partner's payment if required. See the relevant suspension process for procedures on suspending other payments.

Note: an adverse decision for not responding to a request can only be made regarding the customer that was issued the request. It cannot be applied to a partner unless they were also issued a request and failed to respond.

Procedure ends here.

13

Update record + Read more ...

Update the customer's record with the information provided.

Record the decision on the customer’s record, including the:

  • Act/Guide reference upon which it is based, and
  • reason for making the decision

For more details, see:

Did the update result in an unfavourable outcome?

Manual Follow-up (MFU) activity - manual advice required

Table 2

Step

Action

1

Check if a manual letter is required + Read more ...

If the system has not issued a letter following the suspension activity, a manual letter is required.

A Manual Follow-up (MFU) activity generates, usually overnight, and is allocated by Workload Manager (WLM) for action. That is, unless the letter action field was coded to inhibit within the suspension activity.

Has a manual suspension letter already been issued to the customer at the time of suspension?

2

Finalise the MFU activity + Read more ...

The MFU activity still shows on the Activity List (AL) screen as Started (STA). To finalise the MFU activity in Customer First:

  • select the correct MFU activity from the AL screen and select:
    • (AR) Finalise an activity via AR from the Selection Options
    • Continue
  • submit the activity for completion
  • annotate the DOC titled Suspend Cancel Reason with any additional information